Upward Health Program Spotlight: Admission & Readmission Avoidance Program
A key goal of Upward Health’s program is improving a patient’s access to high-quality healthcare. With services delivered right in the patient’s home and clinicians available 24/7/365, the goal is to reduce the occurrence of high-cost, medically unnecessary admissions and readmissions to emergency departments or inpatient facilities. The Admission & Readmission Avoidance Program (ARAP) focuses on this critical area. ARAP delivers evidence-based and proactive interventions through an interdisciplinary team to reduce potentially avoidable events.
ARAP relies on several key roles within our Clinical Operations team, from our nurse care managers to our medical directors, and includes the following components:
24/7/365 Patient Hotline
RN triage line ensures
help is always available.
Urgent Same-Day or Next-Day Visits
Ability to schedule timely
appointments with UH providers.
Daily Huddle
Care teams meet daily to discuss patients who are experiencing a care transition, emerging need, or gap in care.
Interdisciplinary Team Rounds
Multidisciplinary team meets weekly to review cases for proactive planning.
Predictive Analytics
Utilizing claims and clinical data points to identify risk of admission or readmission and deploy interventions.
Patient Engagement & Education
Focus on educating patients on their diagnoses to promote self-management and who to call when experiencing an exacerbation.
Program Integration
Optimize Upward Health’s suite of services to provide whole-person care.
Transitions of Care
When an admission occurs, the focus shifts to managing a successful transition home to reduce likelihood of readmission.
Stacey Jensen, RN BSN, MBA/HCM
Upward Health Chief Clinical Operations Officer
Each member of our clinical team plays a vital role in our Admission & Readmission Avoidance Program. From our RNs who respond to every patient inbound inquiry, to our providers who lead our daily huddles, we work as a cohesive team to make a powerful impact on our patients so they can live their happiest and healthiest lives out of the hospital.
ARAP Means Impact
To learn more about our Admission & Readmission Avoidance Program, contact [email protected].